Jonathan E Backer, DDS
NPI #1477629046 in Cottage Grove, Oregon
Provider Information
- NPI Number
- 1477629046
- Entity Type
- Individual
- Name
- Jonathan E Backer, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Nov 27, 2006
- Last Updated
- Jan 9, 2019
Practice Location
- Address
- 1551 E MAIN ST
- City
- Cottage Grove
- State
- Oregon
- ZIP Code
- 97424-2241
- Phone
- (541) 942-8437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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